Introduction

Class Name(s):

• 80:12 Vaccines

Brand Name(s):

• Vivotif^®

Why get vaccinated?

Typhoid vaccine, live oral may prevent typhoid fever that may occur with infection due to the Salmonella typhi bacteria, usually occurring after eating food or drinking water that is contaminated with the bacteria. Typhoid fever is found in most areas of Central and South America, the African continent, the Near East and the Middle East, Southeast Asia and the Indian subcontinent.

Infection with Salmonella typhi can cause the following: fever, headache, weakness, and gastrointestinal (GI) symptoms (stomach pain, constipation, diarrhea, loss of appetite).

Typhoid vaccine, live oral contains live virus that has been weakened so it does not cause disease but can still stimulate the body to make antibodies against the bacteria to provide a defense against potential infection.

How is the vaccine given?

Typhoid vaccine, live oral comes as a capsule to be given by mouth. Keep the capsules refrigerated at all times.

Typhoid vaccine, live oral is given as 4 doses. Take each dose every other day (e.g. days 1, 3, 5, and 7), 1 hour before a meal with cold or luke-warm water. Swallow the capsule right after placing into your mouth, do not chew.

A booster dose may be considered after 5 years if you continue to be exposed to Salmonella typhi.

What should you tell the person who is giving the vaccine?

Tell your vaccine provider if you:

• have had an allergic reaction to this vaccine, any part of this vaccine, any other vaccine or any drug, food or substance. Tell your vaccine provider about the allergy and what symptoms you had.
• have a fever, ongoing diarrhea or vomiting, are immunosuppressed due to a medical condition, or if you are taking an immunosupressant or anti-infective medication.
• tell your vaccine provider if you are pregnant or breastfeeding.

In some cases, your health care provider may decide to postpone vaccination to a future visit.

What are the risks from vaccination?

Side effects that have been reported with typhoid vaccine, live oral include:

• abdominal pain, nausea, diarrhea, vomiting
• headache
• fever

Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:

• rash, hives, difficulty breathing or swallowing

Adverse reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your health care provider will usually file this report, or you can do it yourself. Visit http://vaers.hhs.gov or call 1-800-822-7967. VAERS is only for reporting reactions, and VAERS staff members do not give medical advice.

How can I learn more?

• Read the Vaccine Information Sheet (VIS) that your vaccine provider will give you or you can obtain it at http://www.cdc.gov/vaccines/hcp/current-vis/index.html
• Ask your healthcare provider.
• Call your local or state health department.

This report on medications is for your information only, and is not considered individual patient advice. Because of the changing nature of drug information, please consult your physician or pharmacist about specific clinical use.

The American Society of Health-System Pharmacists, Inc. represents that the information provided hereunder was formulated with a reasonable standard of care, and in conformity with professional standards in the field. The American Society of Health-System Pharmacists, Inc. makes no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information and specifically disclaims all such warranties. Users are advised that decisions regarding drug therapy are complex medical decisions requiring the independent, informed decision of an appropriate health care professional, and the information is provided for informational purposes only. The entire monograph for a drug should be reviewed for a thorough understanding of the drug's actions, uses and side effects. The American Society of Health-System Pharmacists, Inc. does not endorse or recommend the use of any drug. The information is not a substitute for medical care.

AHFS^® Patient Medication Information™ Copyright, 2026. The American Society of Health-System Pharmacists^®, 4500 East-West Highway, Suite 900, Bethesda, Maryland. All Rights Reserved. Duplication for commercial use must be authorized by ASHP.

Selected Revisions: July 15, 2026.